HISTORY:
foot injury sustained ago
Event:
Location:
Radiation:
Severity: , / 10
Type:
Pattern:
Worsening factors:
Treatments tried: ,
Occupation:
Other elements:
EXAM:
Foot:
- Inspection: ,
- Palpation: on
- Range of motion:
- Dorsal flexion:
- Neurovascular: , distal pulses , cap refill , sensation , distal strength /5
- Special tests:
- Gait: ,
ASSESSMENT:
DDx:
PLAN:
- Foot X-ray
- CT scan of the foot
- MRI of the foot
- Rest, ice, compression, elevation (RICE)
-
-
- Walking boot
- Orthotics
- Physical therapy
- for
- Referral to orthopedic surgeon
- Referral to podiatrist
- Follow-up in
- Return if inability to bear weight or if symptoms do not improve with treatment